Loading...
Reduction of pediatric fractures in the emergency department often requires procedural sedation, with its associated costs, risks, and additional visit time. Researchers report 5 years of experience at a hospital in Toronto where the protocol for treating minimally angulated distal radius fractures in children involves initial management with plaster immobilization, without reduction.
The retrospective cohort study involved skeletally immature children (girls younger than 11, boys younger than 13) who presented with closed distal wrist fractures that did not involve the growth plate and that were minimally angulated and displaced (≤15 degrees of angulation in the sagittal plane and ≤0.5 cm of displacement). Fractures were splinted without re…